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- Title
Sacrococcygeal teratoma: control of catastrophic haemorrhage.
- Authors
Collins, Katherine; Friend, Jikol; Kikiros, Colin; Khosa, Japinder; Barker, Andrew; Gera, Parshotam
- Abstract
Literature is sparse on techniques for large ruptured sacrococcygeal teratomas (SCTs), a common tumour of newborns with a 9-33% mortality rate.[[1], [3], [5]] Typically diagnosed on second trimester anomaly scans, risk factors for adverse perinatal outcomes in cases of prenatally diagnosed SCT include tumour size (>10 cm), rapid growth rate (>150 cm SP 3 sp /week), predominantly solid tumours with high vascularity, polyhydramnios, cardiac decompensation and foetal hydrops (secondary to tumour shunting and haemorrhage).[[1], [6]] Current management for complicated cases includes early delivery with excisional surgery, open foetal surgery with I in utero i resection, foetoscopic laser or radiofrequency ablation (interstitial or vascular) and preoperative middle sacral artery embolization. A GIA 80 stapler (United States Surgical, Norwalk, CT, USA) was used to clamp the tumour pedicle to debulk the tumour and reduce blood loss. GLO:HWR/01jan20:ans15022-fig-0003.jpg PHOTO (COLOR): Wound cosmesis 4 months following tumour resection. gl.
- Subjects
POLYHYDRAMNIOS; TERATOMA; HEMORRHAGE; CESAREAN section
- Publication
ANZ Journal of Surgery, 2020, Vol 90, Issue 1/2, p162
- ISSN
1445-1433
- Publication type
Article
- DOI
10.1111/ans.15022